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Vertebrate reproductive science and technology
RESEARCH ARTICLE

Sperm DNA fragmentation in cryopreserved samples from subjects with different cancers

Lara Tamburrino A , Marta Cambi A , Sara Marchiani A , Ilaria Manigrasso A , Selene Degl’Innocenti B , Gianni Forti A , Mario Maggi A , Elisabetta Baldi A C and Monica Muratori A C
+ Author Affiliations
- Author Affiliations

A Department of Biomedical, Experimental and Clinical Sciences, Centre of Excellence DeNothe, University of Florence, Viale Pieraccini 6, I-50139 Florence, Italy.

B Azienda Ospedaliera-Universitaria Careggi, Florence, Viale Pieraccini 6, I-50139 Florence, Italy.

C Corresponding authors. Emails: elisabetta.baldi@unifi.it; monica.muratori@unifi.it

Reproduction, Fertility and Development 29(4) 637-645 https://doi.org/10.1071/RD15190
Submitted: 18 March 2015  Accepted: 14 September 2015   Published: 14 October 2015

Abstract

Sperm cryopreservation is widely used by cancer patients undergoing chemo- or radiotherapy. Evidence suggests that IVF outcome with cryopreserved spermatozoa from cancer patients is less successful. To determine whether sperm DNA fragmentation (SDF) is involved in the lower fertilising ability of cryopreserved spermatozoa of cancer patients, SDF was evaluated in thawed spermatozoa from 78 men affected by different cancers and 53 men with non-cancer pathologies. SDF was assessed by the terminal deoxyribonucleotidyl transferase-mediated dUTP–digoxigenin nick end-labelling (TUNEL), propidium iodide (PI), flow cytometry procedure, which allows determination of two different cell populations (PIbrighter and PIdimmer) and thus to determine the percentage of DNA fragmented sperm in both. PIdimmer spermatozoa are totally unviable, whereas PIbrighter spermatozoa with SDF may be motile and morphologically normal, having higher biological relevance in the reproductive process. We found that the proportion of DNA fragmented PIbrighter cells was significantly higher in thawed spermatozoa from cancer than non-cancer patients. Moreover, a positive correlation was found between the degree of DNA fragmentation and sperm motility in the PIbrighter population of spermatozoa from cancer patients that wasn’t seen in non-cancer patients. The results of the present study suggest that higher SDF levels may contribute to the lower IVF success of cryopreserved spermatozoa from cancer patients and that evaluation of SDF could complement genetic counselling as part of the routine management of cancer patients who seek fertility preservation.

Additional keywords: cancer patients, flow cytometry, propidium iodide, terminal deoxyribonucleotidyl transferase-mediated dUTP–digoxigenin nick end-labelling (TUNEL).


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